vitamin D

Metabolism

Calcium

 

Source

- ingested in diet

- absorbed in small intestine / duodenum

- under control of vitamin D

 

Excretion

- through kidney

- majority is reabsorbed

- under control of vitamin D

 

Storage

- 99% stored in bone

 

PTH

 

Source

- produced by parathyroid glands

Osteoporosis

Epidemiology

 

1/3 caucasian women > 64

 

Risk Factors

 

Insufficient bone mass at time of skeletal maturity

- peak bone mass is achieved at age 25

 

Rapid loss of bone after menopause

 

Low body weight / weight loss / history of smoking / steroids

 

Primary

 

Type 1

- postmenopausal

- high turnover / osteoclast mediated

- F x 6